Evidence map›Paper›PMID 34551800›Full record

ArticleChiropractic & manual therapies2021

Chiropractic website claims related to non-musculoskeletal conditions: a cross-sectional study.

Guillaume Goncalves, Philippe Fleuriau, Charlène Cheron, Mathieu Picchiottino, Sylvain Pigeon, Rikke Krüger Jensen

Open access · goldAbstract read
In one paragraph

Article in Chiropractic & manual therapies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Guillaume GoncalvesSociété Franco-Européenne de Chiropraxie, 59700, Marcq-en-Baroeul, France. ggoncalves@chiro-marcqcroise.com.ORCID 0000-0002-1992-1876
Philippe FleuriauPrivate Practice, 14000, Caen, France.
Charlène CheronSociété Franco-Européenne de Chiropraxie, 59700, Marcq-en-Baroeul, France.
Mathieu PicchiottinoSociété Franco-Européenne de Chiropraxie, 59700, Marcq-en-Baroeul, France.
Sylvain PigeonSociété Franco-Européenne de Chiropraxie, 59700, Marcq-en-Baroeul, France.
Rikke Krüger JensenDepartment of Sport Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
L’Institut Franco-Européen de Chiropraxie · FRUniversity of Lancashire · GBUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChiropractors frequently use spinal manipulation therapy as a treatment modality in the management of musculoskeletal (MSK) conditions such as spinal pain and sometimes in the treatment of non-MSK disorders. The latter is not supported by evidence. This study aimed to investigate the extent of non-MSK website claims from French chiropractors to assess if websites were aligned with current recommendations on evidence-based practice.

methodsThis was a cross-sectional study of a representative sample of French chiropractors. Information on non-MSK conditions was collected from chiropractic professional websites by two independent observers in June 2020. For each non-MSK condition, it was noted whether a clarifying explanation justifying the mentioning of the condition was available. In addition, data on professional association affiliation status, country of education, years since graduation, and special clinical focus (e.g., seniors, children) were collected.

resultsA total of 287 randomly selected websites were included in the study corresponding to 22% of all chiropractors registered in France. One or more of 42 different non-MSK conditions were identified on 231 websites, of which 5 (2.2%) provided a clarifying explanation. 226 (79%) websites mentioned a non-MSK condition without a clarifying explanation. The non-MSK conditions most often mentioned were sleep problems, constipation/digestive problems, unease/discontent in children and menstrual cramps/pains. A larger proportion of the websites advertising treatment for non-MSK disorders was found among those claiming a special clinical focus on infants/children, seniors, pregnant women or athletes compared to those that did not. Also, a larger proportion of chiropractors who were affiliated with a professional association were advertising treatment for non-MSK disorders compared to those who were not affiliated.

conclusionsEight out of ten chiropractic websites mentioned one or more non-MSK diagnoses or symptoms. It is unclear if this reflects inaccurate communication or if treatments for non-MSK conditions are provided by the chiropractors.

Indexed as

ChiropracticManipulation, ChiropracticMusculoskeletal DiseasesAdvertisingChildCross-Sectional StudiesFemaleHumansInfantPregnancyAdvertisingChiropractorNon-musculoskeletalWebsite

Identifiers

PMID34551800
PMCPMC8456627
OpenAlexW3169833086

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.